Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH MAXIM WIEDEMANN, PH.D. PSYCHOLOGIST
Active Sole ProprietorDR. KENNETH MAXIM WIEDEMANN, PH.D. PSYCHOLOGIST is a Psychologist healthcare provider located in TUSTIN, California. NPI 1467549964 is currently active in the NPPES registry. Verify at CMS.
Psychologist · TUSTIN, CA
Registration Details
- NPI Number
- 1467549964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.876135670303 yrs)
- Last Updated
- Feb 22, 2026
- License
-
17821 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14771 PLAZA DR STE LTUSTIN, CA, 927808012Browse CA providers · Browse ZIP 92780
- Phone
- 7147311995
- Fax
- 7146698135
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in TUSTIN, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CRYSTAL ANN BARILE | PH.D. | 1407804818 |
| DR. KARYN M SANDBURG | PSYCH MFT | 1720194814 |
| DR. MARTIN JOHN EATON | PH.D. | 1134221252 |
| DR. ISMAIL YASSAI | PH.D. | 1548351489 |
| DR. NANCY J TAYLOR | PHD | 1235220674 |
| HEATHER COAKLEY | PSYD | 1588861900 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.